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  Regular Agenda Item     3. F.    
Regular BOS Meeting
Meeting Date: 04/21/2020  
Submitted For: Mary Springer Submitted By: Mary Springer, Finance Director
Department: Finance  
Fiscal Year: FY2021 Budgeted?: Yes
Contract Dates
Begin & End:
7/1/20 - 6/30/21 Grant?: No
Matching
Requirement?:
No
Fund?: New

Information
Request/Subject
Request approval of an Intergovernmental Agreement (IGA) with Pinal County to provide medical examiner services.
Background Information
Gila County uses a contract medical examiner who performs autopsy services and related medical services.  In addition to paying a contract medical examiner, additional costs include separate medical supplies, pathology testing, facility costs, equipment and so on.  Gila County also uses the Pima County medical examiner when the contract medical examiner is not available or there is a complicated case that requires more services than the contract medical examiner can perform.  Gila County was notified by Pima County they would no longer take cases on a piecemeal basis.  Since we were notified by Pima County, the Finance Department has been researching medical examiner service providers with an all inclusive cost model. Pinal County has a full service medical examiner department who has provided competitive pricing, inclusive of all costs and logistically closer to Gila County.
Evaluation
Staff reviewed the current cost model, Pima County cost model and Pinal County cost model.  It was determined that the Pinal County cost model would be the most beneficial to Gila County to provide all inclusive medical examiner services. 

This IGA will be for the period beginning July 1, 2020 through June 30, 2021 with an annual payment of $375,000 whereby Pinal County will perform up to 190 medical examiner cases within the applicable one-year contractual term.  For any cases in excess of 190 during any one-year term of the agreement shall be paid for by Gila County at the per case rates as listed in the 2020 Services Cost Schedule, referenced as Exhibit A to the IGA.
Conclusion
In order to provide timely and cost effective medical examiner services it is in the best interest of of Gila County to engage with Pinal County through an IGA for medical examiner services.
Recommendation
Staff recommends approval of IGA with Pinal County for medical examiner services.
Suggested Motion
Information/Discussion/Action to approve an Intergovernmental Agreement between Gila County and Pinal County whereby Pinal County will provide medical examiner services for the period beginning July 1, 2020 through June 30, 2021 in the amount of $375,000.  (Mary Springer)

Attachments
IGA-Medical Examiner Services
Exhibit A Cost Schedule
Medical Examiner Services Cost Savings Initiative

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